Form B70-1030 REV 2/14
REFUND POLICY
(Refunds are made to the individual/company that made the original payment.)
Refunds on building, plumbing, mechanical and electrical permits or plan reviews may be
granted if no inspections or plan reviews have been conducted. Requests for refunds must be
submitted no later than 180 days after payment of the fee to be granted. Refunds are for 80
percent of the fee paid (the City retains an administrative cost of 20 percent of the fee or $100,
whichever is less).
Note: Fees paid for System Development Charges and Taxes (i.e., Sewer, Water, Storm,
Transportation, Park, School, Metro) are not refundable but remain as a credit with the property.
Job Address: __________________________________________________________
Date of Written Request: ____________________ Permit No: _________________
Project Description: _____________________________________________________
Reason for Refund: _____________________________________________________
_____________________________________________________________________
Contractor: ________________________ Owner/Auth. Agent: _________________
Address: __________________________ Address: __________________________
City/State/Zip: ______________________ City/State/Zip: ______________________
Phone No.: ________________________ Phone No.: ________________________
Signature: _________________________ Signature: _________________________
Refund: 80% 100%
Refund Processed by: ______________________ Date: ______________________
Refund Approved by: _______________________ Date: ______________________
>>FOR ACCOUNTING PURPOSES ONLY<<
CITY OF BEAVERTON
Community Development Department
Building Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR 97076
Phone: (503) 526-2493 Fax: (503) 526-2550
General Information (503) 526-2222 V/TDD
BeavertonOregon.gov
REQUEST FOR PERMIT REFUND
WAIVER
